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43D2089513 CLIA NUMBER - BLACK HILLS DERMATOLOGY PC

Laboratory Demographics

CLIA Number: 43D2089513

Facility Name: BLACK HILLS DERMATOLOGY PC

Facility Address:
132 EAST GRANT
SPEARFISH, SD
ZIP 57783
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Facility Phone Number: 605 341-5565

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1811290992

Taxonomy: 103TC0700X - Psychologist
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

CLIA Record

Field Name Field Value
CLIA Number 43D2089513
LAB Type Physician Office
Facility Name BLACK HILLS DERMATOLOGY PC
Street 132 EAST GRANT
City SPEARFISH
State SD
ZIP 57783
Phone 605 341-5565
CertificateType 2
CertificateEffectiveDate 5/27/2023
CertificateExpirationDate 5/26/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024